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Individual

STACIA KRZYZANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, AHH, LADC, LPCC

Contact information

Practice address
1009 HOLLINGER ST, PARK RAPIDS, MN 56470-1300
(218) 699-3510
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2780
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
4806
MN

Other

Enumeration date
07/09/2024
Last updated
10/27/2025
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